Renal Cell Carcinoma

Unknown Abdomen and Pelvis Case 1

Presentation

58 y/o man presenting with gross hematuria

Image Findings

Large mass in the mid and upper pole of the right kidney, heterogeneous in signal intensity. Dark to intermediate signal on T1-weighted images and bright on T2-weighted images. Marked contrast enhancement is seen with areas of central necrosis. Renal vein not visualized.

Differential Diagnosis

Renal Cell Carcinoma Lymphoma

Discussion

Renal cell carcinoma is a common renal malignancy in adults. Ten per cent occur bilaterally and are occationally associated with tuberous sclerosis and von Hippel-Lindau syndrome. The majority of hypernephromas are hypervascular and they commonly present with gross hematuria. Renal vein and IVC extension will influence the surgical approach.

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Last modified May 24, 2008